Whalio Doctors

NPI 1124342852

Angels of the Heart

Organisation Mental Illness Community Based Residential Treatment Facility Riverview, MI

Practice location

Address
18870 Church Hill Dr, Riverview, MI 48193-1702
Phone
(734) 589-2313
Fax
(734) 225-6495
Mailing address
17373 Roxbury Ave, Southfield, MI 48075-7610

Authorised official

Name
Stephen Ira Randall
Title
Consultant
Phone
(313) 529-7002

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence AS80294958 (MI)

Registry record

NPI
1124342852
Entity type
Organization
NPI issued
24 Mar 2010
Record last updated
24 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.